Provider Demographics
NPI:1154659860
Name:DANIEL, ANNIE LIZA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ANNIE
Middle Name:LIZA
Last Name:DANIEL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19215 I-45 SOUTH
Mailing Address - Street 2:
Mailing Address - City:SHENANDOAH,
Mailing Address - State:TX
Mailing Address - Zip Code:77385
Mailing Address - Country:US
Mailing Address - Phone:281-419-6247
Mailing Address - Fax:
Practice Address - Street 1:19215 I-45 SOUTH
Practice Address - Street 2:
Practice Address - City:SHENANDOAH,
Practice Address - State:TX
Practice Address - Zip Code:77385
Practice Address - Country:US
Practice Address - Phone:281-419-6247
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-19
Last Update Date:2009-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX44623183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist